Individual
KATHERINE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1101
(516) 465-5255
Mailing address
410 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1101
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382417-1
NY
Other
Enumeration date
07/13/2015
Last updated
08/12/2015
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